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ORIGINAL STATE OF CALIFORNIA Do not fill in <br /> �a THE RESOURCES AGENCY <br /> File with DWR DEPARTMENT OF WATER' RESOURCES No. 065023 <br /> 3 <br /> A Intent No. WATER WELL DRILLERS TREPORT State Nell No. <br /> Permit No.or Date 87-93 �"'o�ZrV�-S / a t . c Other Well NoQ. S 0$&00 M ._ <br /> (12) WELL LOG: Total depth-M-ft.Depth of completed well,—l_E&t. <br /> from ft. to ft. Formation (Describe by color, character, size or material) <br /> 0 - 9 Top SOU <br /> (2) LOCATION OF WELL (See instructions): <br /> CountySanJoaquin Owner's Well Numbe 15 <br /> _ 20 Clay <br /> Well address if different yffriio++m above 8 2 2 1 eV n n e T A r 20 40 Gr a v e l <br /> Township . 7 Rnnge ® r� Section 40 - 4 9 C 1 a <br /> Distance from cities,roads,railroads,fences,etc 49 - 51 G I <br /> 51 --98 Cla <br /> 98 -- 114 Grav y <br /> 110- 120 lay <br /> (3) TYPE OF WORK: 120 - 135 G ,a v e l <br /> New Well (X Deepening ❑ 1 g `1 3 7 Clay <br /> Reconstruction ❑ - a <br /> Reconditioning ❑ -'\\147- ,1 <br /> florizontal Well ❑ 1y 5- 160 a� Y <br /> Destruction E3 (Describe ' - 17 Q / <br /> destruction materials 0- 1' 2 G r V e l S v <br /> procedures in Item 2' n <br /> (4) PROPOSED 172-, fi C lay <br /> Domestic 17,-5-"'4Sr N a rd <br /> Irrigation! ❑ < <br /> Industrial ❑ \j <br /> T 5 well\� ❑ ��- <br /> stae 01 - <br /> Municip - r� <br /> WELL LOCATION SKETCH ��f Other ❑ \ <br /> 0Rota(5) EQUIPMENT: (6) GRAV1LPACK: << - <br /> Us'l <br /> ry 1� Reverse ❑ <br /> [� Size Cable Q Air ❑ \Zter of bore , <br /> Other 11 Bucket ❑ ol�erl`f ora 0 G <br /> (7) CASING INSTALLED: (8) PERFOAA I[-Nk v <br /> Steel❑ Plastic to of sere. - <br /> Froin To Dia. NI e1. Fr Fr To S <br /> ft. ft, in. Wall ft. ft. <br /> 0 16 6 - <br /> - <br /> �-\ > <br /> (9) WELL SEAL: <br /> Was surface sanitary seal provided? Yes No 0 If yes, to depth---4-&Gft. - <br /> Were strata sealed against pollution? Yes ❑ No [a Interval.-It. - <br /> bfethod of senlin Bentonite WoriS started` 19-877Completed 19 <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water, if known ft. Thfs wall was drilled tender my jurisdiction and thfs repo Is true to the best o/ my <br /> Standing level after well completion 52 ft. knowledge nd bell <br /> F. <br /> (.11) WELL TESTS: SIGNED -%_ <br /> Was well test made? Yes ❑ No If yes, by whom? (Well Driller) <br /> Type of test Pump U Railer❑ Air lift❑ NAME N E N N I N GS BROS. DRILLING CO. . I SLC . <br /> Depth to water at start of test - ft. At end of tcsF ft (Person, firm, or corporation) (Typed or printed) <br /> rgc gal/nun after, hours Nater tempemtrtr Addressn <br /> 3525 PE ANDAI F AUF <br /> ;al analysis made? Yes [3No & If yes, by whom? City— M 0 D E S T G s r�Was electric log made?' Yes ❑ No IQ If yes,attach copy to this report License No, 29081 .1 Date of this reporn . 279 <br /> DWR t6a (REV.7.76) IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM <br />